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Home My WebLink About4422-zFOU~,~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTM~,NT Town Clerk's Office $outhold, BI. Y. Certificate Of Occupancy No. Z60?? ....... Date ................Ill&..I~ .... , 19~... THIS CERTIFIES that the building located at . 811~sbtr .Re~ .............Street Map No. I~a~t,. Pko. ~ No ........... Lot No ..... ~ ......}~atti.taek. 1~ ,~., .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ J~u..~,O1..~..., 19.'~ pursuant to which Building Pemit No...~ dated . A~. 1 ~'r-1 ~)~9 &.Feb.8 19. ~t~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. P.l, ivate. OhS .family. dwell~ ..................................... The certificate is issued to .. lla.l~tin. Z~lStt],o ..... 0~naz* ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health ApproVal N,R, ............................... uNDERWRITER~ CERTIFICATE / .. !~,:11~ ..................................... HOUSE NUIvlBER/,.... 2~ ..... Street ..... 8~,~sby. llo~ ........................ Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~422 Z Permission is hereby granted to: at premises located at .................. .~..l~.~...~.e.~.....~..~.~.e...~l~lL.~ .................................................. .................................................... ~.$Z~..~ .............. I~t,t.l,~ ....... I~e~.~ ............................ pursua~ to application dated ....................... ~ ............ ~. ............ , 19..J~11~., and approved by the Building Inspector. Building Inspector ~OI/THO4~, .. y. -~-,-~.d',,-~. ~,~.~.~ , E~ i~ ...................... ,19 ...... _ ~li~.~ ....................... ; .... ........ ~ I ~' ...................... "'r ............. ~- ........ ;'" a. This ~p icoti~ m~ be c~ m~ flllM In ~ ~Wrt~r or in ink In~. b. Pl~ plan ~owi~ I~ati~ of I~ a~ ~ ~MI~ ~ p~m~, ~l~i~ip ~ ~jolni~ ~ ~ ~llc ~ or omas, and givi~ a ~ailed ~ri~i~ of I~ ~ p~ ~ d~ ~ ~ di~mm ~lch Is ~ of ~ ~l~i~. c. ~e ~ c~r~ ~:this :~ll~i~ ~ ~ ~ ~ ~re d. Up~F~I ~,~is.~lic~l~,, ~:~ I~ will I~ shall ~ k~t ~ ~e p~mi~ ~ll~le for I~t~ ~h~ ~e p~ of ~ ~. ,, : . .,- e. No b~lding s~ll ~ ~upl~ ~ u~ in ~le or In pa~ for any pu~ what,er until a ~ifi~ ~ ~c~y shall h~ b~ ~n~ by the Buildi~ I~r. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the Building Zone Ordinance of the Town of Southold~ Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, a~d regulations. > · (Signature of applica6t, or name, if a corpOration) Sigsby Road Mattituck (Address of applicant) State whether applicant is owner, lessee, age~t, architect, engineer, general contractor, electrician, plumber or builder. ............................................................ . ...o~.....~.....-... ~.~,~1.~. ................................................................................................. Name of owner of ,.,--..I..~ Martin 7.uzulo If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of la_nd on which p~ .m~ v,~'k will be clone. Map No.: ........................................I.~:~..>/~...,?....~ ...... Street and ~u~t~r ..?,.~.,~.~.. ............ §.~,.~,~'....~...0..8.~ ......... ,,,I~,.,~.~..~..~..~...~...i}.~..:,~.! ................... }...}.....,~.~i..'~.'......i .... 2. State e~lsting u~ and occu~ar~'~ of I:~mi~ ~ lnt~aded u.~ ~ '~'ul~n~ of p~ t~n~'uet~: a. ~ng ~ ~ ~.~u~'w ...~W.~l.l~g ...................................................................................................... :.i... b. ~nte~d u~ and ~ ................ ,...~,L.'~;.t~fl~{~.~k~,~IL:.....:i .......................... ; ............................. Locate clearly and distinCtly property lines. Give street and whether i~terior or 3. Nature of work (check which applicable): New BuitdiBg ~.~......~: ..... Addition ........ ~ ..... Alteration ....:~.......*... ~Other Repair R~emoval .................. -Demoliti°n ....... ;.Z..: .... Work (Describe) ........................................ 4. Estimated Cost ....... ~.,~.Q0..~. .................. '~'i~.'~.~i,4.,,..,Eee ',;'~."".~.' ............................................................................. (to be paid on filing this application) §. If dwelling, n.u~r of clwelling units ..x31~e. .................. Number of dwelling'units on each floor ........................... If garage, number of cars ....................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ..; ......................... Rear ................................ Depth .................... Height ........................ Number of Stories ............................................................................. . ......... ...-........-. ...... .. · Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ......................... Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... .1.~'.....; ........ ~ ....... Rear ........ ].il: ............... Depth ....... ~.~ ............ Height .................... Number of Stories ............O.~..~. .................................................................................................... 9. Size of lot: Front ........................... ~ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 !. Z~t~e. or use district in which promises am situated ..... #.A.."...~'.~IRI ................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ......Z!..q. .................................................. 13. Name of Owner of premises .~..q~'.~D,...~..1,~.l~,-~.:~:....'..Adc]ress'i......~r-~.~1,.~.U.C~[ ............... .,eOhgne No ..................... .ame o, ^rchit t ...................................................... ..................... Name of ContraCtor ....... ~.R~ ................ i ................... Address ~..4. ~r.~...:~(~...._. ....... Phone No ..................... , PLOT DIAGRAM ilJ[E~lj~her existing or proposed, and indicate all set-back dlmensior~ from Iock number or Idescription according to' deed, and show stre~ names and Indicate ~t~-:~~'~ I /~--'-~ ~' Martin ZUZulo ................................................................................................. being duly swam, deposes and says that he is the applicant (Name,. of individUal signing applicati;or4) : ,. :, .... : : :, above nomed. He is the ................ ...O.L..l?.~....'.....b...l~....]:~.e.?.. ......................................................... , ......................................... (Contraetor~ agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the .said .work and to make .and file this apPlicatiOn; 'th~i~ all ~Statements contoinbc['in this 'application ate frua to the besf of his knoWledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this.. ...................... ..................... .... ......... , .... % ........................... NOTARY PUBLIC, State of New York N0. 52-3233120 Suffolk County Tram Expires March 30, 19_ZZ'